口腔医疗环境中甲基丙烯酸甲酯(MMA)致呼吸道刺激与哮喘的潜在机制

Potential mechanisms of respiratory irritation and asthma induced by methyl methacrylate (MMA) in dental settings

  • 摘要: 基于网络毒理学方法探讨甲基丙烯酸甲酯(MMA)在哮喘发生发展中的潜在分子机制,为暴露相关呼吸系统疾病的防控提供理论依据。利用SwissTargetPrediction、STITCH及SEA等数据库预测其潜在作用靶点;以“哮喘”为关键词,在GeneCards、OMIM及CTD数据库中筛选疾病相关靶点,取交集获得潜在作用靶基因。基于STRING数据库构建蛋白质-蛋白质相互作用网络,通过Cytoscape筛选核心靶点,并进行基因本体论(GO)及京都基因与基因组百科全书(KEGG)通路富集分析。结果显示,ALB、EGFR、CYP19A1、CA9及CA2为潜在核心靶点。GO分析表明相关靶点主要参与细胞酸碱稳态、神经递质信号传递以及离子转运过程等生物学过程,KEGG分析显示靶点显著富集于氮代谢及细胞稳态调控通路。分子对接结果进一步证实MMA能够与上述核心蛋白形成稳定结合,提示其可能通过影响碳酸酐酶系统及EGFR信号调控,诱导气道微环境失衡和炎症反应。综上,MMA可能通过代谢紊乱、酸碱稳态失衡与炎症放大多靶点协同作用机制参与职业性哮喘的发生发展。本研究为口腔医疗环境中MMA职业暴露相关呼吸系统疾病的防控提供了理论依据。

     

    Abstract: This study aimed to explore the potential molecular mechanisms of methyl methacrylate (MMA) in the initiation and progression of asthma based on a network toxicology approach, providing theoretical evidence for the prevention and control of respiratory diseases related to occupational exposure. Potential targets of MMA were predicted using SwissTargetPrediction, STITCH, and SEA databases. Asthma-related targets were screened from GeneCards, OMIM, and CTD databases using “asthma” as the keyword, and overlapping targets were identified as candidate target genes. A protein-protein interaction (PPI) network was constructed using the STRING database, and core targets were screened via Cytoscape. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses were subsequently performed. The results showed that ALB, EGFR, CYP19A1, CA9, and CA2 were potential core targets. GO analysis indicated that these targets were mainly involved in biological processes including cellular acid-base homeostasis, neurotransmitter signaling, and ion transport regulation. KEGG pathway analysis revealed significant enrichment in nitrogen metabolism and cellular homeostasis-related pathways. Molecular docking results further demonstrated stable binding interactions between MMA and the core target proteins, suggesting that MMA may induce airway microenvironment imbalance and inflammatory responses through modulation of the carbonic anhydrase system and EGFR signaling pathways. In conclusion, MMA may contribute to the occurrence and development of occupational asthma through a multi-target synergistic mechanism characterized by metabolic disorders, imbalance of acid-base homeostasis, and amplification of inflammatory responses. This research provides a theoretical basis for the prevention and control of respiratory diseases related to occupational exposure to MMA in dental settings.

     

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